MARY P FASANO
Registered Nurse


Address: 544 Park Rd, Watertown, CT 06795

MARY P FASANO (Credential# 606935) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2012. The license expiration date date is June 30, 2013. The license status is INACTIVE.

Business Overview

MARY P FASANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E35195. The credential type is registered nurse. The effective date is July 1, 2012. The expiration date is June 30, 2013. The business address is 544 Park Rd, Watertown, CT 06795. The current status is inactive.

Basic Information

Licensee Name MARY P FASANO
Credential ID 606935
Credential Number 10.E35195
Credential Type Registered Nurse
Business Address 544 Park Rd
Watertown
CT 06795
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1973-09-06
Effective Date 2012-07-01
Expiration Date 2013-06-30
Refresh Date 2013-10-08

Office Location

Street Address 544 PARK RD
City WATERTOWN
State CT
Zip Code 06795

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Competitor

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City WATERTOWN
Zip Code 06795
License Type Registered Nurse
License Type + County Registered Nurse + WATERTOWN

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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